Remove 2021 Remove Blood Transfusions Remove Fluid Resuscitation
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Rethinking Fluid Resuscitation in Vaso-Occlusive Crisis: Is Lactated Ringer’s the Superior Choice?

RebelEM

Within this population, over 90% of healthcare encounters are due to painful vaso-occlusive episodes (VOE) ( Kidwell 2021 ). VOE is often complicated by hypovolemia, making fluid administration a common intervention ( Lovett 2017 ). Lactated Ringer (LR) and 0.9% JAMA Intern Med. 2024;184(11):1365-1372.

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Trauma Resuscitation Updates

RebelEM

Hypotensive resuscitation during active hemorrhage: impact on in-hospital mortality. Immediate Versus Delayed Fluid Resuscitation for Hypotensive Patients with Penetrating Torso Injuries. Anesth Analg 2021. The Role of Whole Blood Transfusions in Civilian Trauma: A Review of Literature in Military and Civilian Trauma.

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A Beginner’s Guide to Vasoactive Drug use in Children with Septic Shock

Don't Forget the Bubbles

So, fluid has been tried but has not got close to fixing the problem. In middle-to-high-income countries, after 40-60ml/kg of fluid resuscitation, the Surviving Sepsis Campaign International Guidelines recommend using vasoactive drugs. Published 2021 Apr 16. What are vasoactive drugs? Ed makes a full recovery.

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emDOCs Revamp – Acute Chest Syndrome

EMDocs

His medical history is significant for three prior admissions for vaso-occlusive crises that have responded well to appropriate therapy, including pain control with NSAIDs and opioids, blood transfusions, antibiotics, and intravenous (IV) crystalloids. 2021 Sep;194(5):899-907. Epub 2021 Jul 15. C or 100.4 mg/kg, max 0.4

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Neonatal Hypotension

Don't Forget the Bubbles

Effective management of MAS will often result in the stabilization of blood pressure. Before considering fluid resuscitation or inotropes, it is essential to correct the infant’s body temperature. Hypothermia: Newborns, particularly preterm infants, are prone to hypothermia. L., & Carcillo, J.

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